How much rates vary
Facilitymedian $871 · 10th to 90th $363 to $5,129Professionalmedian $603 · 10th to 90th $251 to $1,288
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $363.08 Median $707.95 Typical High $3,890.45 | Facility | None | $363.08 | $707.95 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $707.95 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $707.95 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $251.19 Typical High $416.87 | Professional | 26 · Professional part | $229.09 | $251.19 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $691.83 | Professional | TC · Technical part | $371.54 | $436.52 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $5,128.61 Typical High $7,244.36 | Facility | None | $812.83 | $5,128.61 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $251.19 | $549.54 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $251.19 Typical High $309.03 | Professional | 26 · Professional part | $186.21 | $251.19 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $436.52 Typical High $707.95 | Professional | TC · Technical part | $309.03 | $436.52 | $707.95 |
CareSource Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $616.60 | Facility | None | $199.53 | $346.74 | $616.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $204.17 | $288.40 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $1,047.13 | Facility | None | $467.74 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $257.04 Typical High $363.08 | Facility | 26 · Professional part | $54.95 | $257.04 | $363.08 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $467.74 Typical High $676.08 | Facility | TC · Technical part | $100.00 | $467.74 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,096.48 Typical High $3,162.28 | Professional | None (both parts) | $575.44 | $1,096.48 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $407.38 Typical High $1,096.48 | Professional | 26 · Professional part | $208.93 | $407.38 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $724.44 Typical High $2,089.30 | Professional | TC · Technical part | $363.08 | $724.44 | $2,089.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $5,128.61 | Facility | None | $741.31 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $891.25 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $891.25 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $316.23 Typical High $407.38 | Professional | 26 · Professional part | $245.47 | $316.23 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $562.34 Typical High $831.76 | Professional | TC · Technical part | $104.71 | $562.34 | $831.76 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $288.40 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $131.83 Typical High $154.88 | Professional | 53 · Discontinued | $117.49 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $489.78 Typical High $588.84 | Professional | 54 · Surgery only | $436.52 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $97.72 Typical High $117.49 | Professional | 55 · Aftercare only | $87.10 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $66.07 Typical High $77.62 | Professional | 56 · Pre-op care only | $57.54 | $66.07 | $77.62 |
Where Kentucky sits
The same service costs 4.4 times more in Wisconsin than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 50th of 51
$603
WI $2,630TX $603
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.